Donor Abstract

IDENTIFICATION NO. RR303 DATE 10/1999

 PHYSICAL AND PERSONAL CHARACTERISTICS

DOB (M/Y) 01/1973 PLACE OF BIRTH  Alabama
HEIGHT 5'7" WEIGHT 170
EYE COLOR  Brown COMPLEXION Fair-Medium, Asian
HAIR Black, Straight RIGHT HANDED  X LEFT HANDED
RELIGION BORN INTO Agnostic MARRIED No NO. OF CHILDREN none
YRS OF COLLEGE 8 OCCUPATION  Graduate student in Public Health and Communications HERITAGE Chinese
INTERESTS cycling, sports, movies and films

 TEST RESULTS

Blood Type A Positive HIV 1/2 Ab. & HIV 1 Ag.  Nonreactive
Chlamydia Negative by PCR HTLV-1,2 Ab. Nonreactive
Chromosome analysis Normal Male 46XY Neisseria gonorrhea None Isolated
CMV, IgG Nonreactive SGPT Normal
Cystic Fibrosis Negative for 33 mutations Sickle cell Not Applicable
Group B streptococcus No Growth Syphilis, antibody Nonreactive
HbsAg & HbcAb Nonreactive Tay Sachs & Canavan Not Applicable
Hepatitis C, Ab Nonreactive Thalassemia Normal Adult Hemoglobin
Trichomonas & yeast Not Present  

 DONOR AND FAMILY HEALTH HISTORY

MEDICAL PROBLEM DONOR RELATIVE

HEART

None

Father: high blood pressure

BLOOD

None  None
RESPIRATORY None None
GASTROINTESTINAL None None
METABOLIC/ENDOCRINE None None
URINARY None   None 
GENITAL/REPRODUCTIVE SYSTEM None  None
NEUROLOGICAL None None
MENTAL HEALTH None  None
MUSCLES/BONES/JOINTS None None
SIGHT/SOUND/SMELL None None
SKIN None None
OTHER None None

 FAMILY HISTORY

LEVEL OF SCHOOLING: Mother B.A. Degree Father Medical Doctorate
OCCUPATION: Mother Management Father Physician
 
  AGE IF LIVING AGE AT DEATH CAUSE OF DEATH
MOTHER 58    
FATHER 63    
MATERNAL GRANDFATHER   91 Old Age
MATERNAL GRANDMOTHER   85 Old Age
PATERNAL GRANDFATHER   Not Known War Casualty
PATERNAL GRANDMOTHER   Not Known  War Casualty
BROTHERS 33    
SISTERS      

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